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RACHELLE A ROSE PHD
NPI 1265448104
Psychologist - Clinical in Clearfield, UT

Active since July 31, 2006PECOS Enrolled
49 E 200 S, NORTHERN UTAH MENTAL COUNSELING, CLEARFIELD, UT 84015(801) 779-0095(801) 779-0255 Get Directions Write a Review

NPPES record last updated: April 1, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Rachelle A Rose Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RACHELLE A ROSE PHD (NPI 1265448104) is an individual clinical provider in Clearfield, Utah, licensed in Utah (5712578-2501-2014092) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265448104
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameRACHELLE A ROSECredential: PHD
Location Address49 E 200 S, NORTHERN UTAH MENTAL COUNSELINGClearfield, UT 84015-1047
Mailing Address49 E 200 S, Northern Utah Mental CounselingClearfield, UT 84015-1047 · (801) 779-0095 · Fax (801) 779-0255
Phone(801) 779-0095
Fax(801) 779-0255
Sole ProprietorNo
Enumeration DateJuly 31, 2006
Last NPPES UpdateApril 1, 2015
✔ NPI 1265448104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in UT · 5712578-2501-2014092
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
49 E 200 S, Clearfield, UT 84015
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN000060905UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rachelle A Rose Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Rachelle Rose reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Davis Psychological Services
15 mi
Mental Health (Including Community Mental Health Center)
520 N MARKET PLACE DR STE 200
Centerville, UT 84014
  • Reassigned Medicare billing, Utah enrollment
  • 21 clinicians in this Medicare group
NPI 1386142396 (801) 934-3373

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.03 typical visit price
range $54.34 – $166.03
Typical copayment $41.50 (range $13.58 – $41.50)
Most-billed visit code 99205
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTHERN UTAH COUNSELING LLC
Counselor (Mental Health)
49 E 200 S
CLEARFIELD, UT 84015
Davis County (801) 779-0095
AMANDA MICHELLE EDMUNDS
Counselor (Mental Health)
49 E 200 S
CLEARFIELD, UT 84015
Davis County (801) 779-0095
MR. PAUL W. DAWSON MSW, LCSW
Social Worker (Clinical)
49 E 200 S
CLEARFIELD, UT 84015
Davis County (801) 779-0095
JAY A. ELDREDGE CSW
Social Worker (Clinical)
49 E 200 S
CLEARFIELD, UT 84015
Davis County (801) 779-0095
BRITTNEY OLSEN LCMHC
Counselor (Mental Health)
49 E 200 S
CLEARFIELD, UT 84015
Davis County (801) 779-0095
MS. DANNIE SUE GAVROS ACMHC
Counselor (Professional)
49 E 200 S
CLEARFIELD, UT 84015
Davis County (801) 779-0095
KRISTINA ELIZABETH STEIN MSW
Social Worker (Clinical)
49 E 200 S
CLEARFIELD, UT 84015
Davis County (801) 779-0095
JEFFREY MARTIN HALL
Student in an Organized Health Care Education/Training Program
49 E 200 S
CLEARFIELD, UT 84015
Davis County (801) 779-0095

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rachelle Rose's NPI number?

The NPI number for Rachelle Rose is 1265448104. It was assigned to this individual provider in the NPPES registry on July 31, 2006.

Where is Rachelle Rose located?

Rachelle Rose practices at 49 E 200 S Northern Utah Mental Counseling, Clearfield, UT 84015. The listed phone number is (801) 779-0095.

What is Rachelle Rose's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Rachelle Rose enrolled in Medicare?

Yes. Rachelle Rose is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rachelle Rose's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachelle Rose reassigns Medicare benefits to South Davis Psychological Services (Centerville, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rachelle Rose's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachelle Rose accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Rachelle Rose as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rachelle Rose was last updated on April 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.